The Emergency Room Nurse Assessing Clear Drainage from the Nose

Multiple Choice

The emergency room nurse assessing clear drainage from the nose of a newly admitted patient with a head injury should perform which intervention?

A) Document the presence of rhinorrhea.
B) Inform the physician of the assessment.
C) Test fluid with a glucose Accu-Chek or Dextrostix.
D) Tape a drip pad under the nose.